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Engagement Patterns With an Artificial Intelligence Health Coach for Systemic Sclerosis Self-Management: A Mixed
Nirali Shah1, Melanie Morris2, Cristina Daraban1
1University of Michigan, Ann Arbor.
Arthritis Care & Research
|June 29, 2026
Summary
An artificial intelligence (AI) health coach shows promise for systemic sclerosis (SSc) self-management. High engagement, characterized by action-oriented and companionship interactions, was linked to potential fatigue improvements.
Area of Science:
- Medical Informatics
- Artificial Intelligence in Healthcare
- Chronic Disease Management
Background:
- Systemic sclerosis (SSc) requires ongoing self-management to mitigate disease progression and improve quality of life.
- Traditional self-management support may not fully address the complex needs of SSc patients.
- Emerging technologies like AI offer novel avenues for personalized patient support.
Purpose of the Study:
- To assess the utility of an AI health coach for supporting self-management in individuals with systemic sclerosis.
- To identify patterns of participant engagement with the AI health coach.
- To explore the relationship between engagement levels and self-management outcomes.
Main Methods:
- A mixed-methods study involving 20 participants with SSc interacting with an AI health coach for 4 weeks.
- Quantitative usage metrics (conversations, messages, duration) classified participants into high and low engagement groups.
- Qualitative analysis of chat transcripts identified interaction purposes, integrated with quantitative data.
Main Results:
- Participants used the AI coach for goal setting, information seeking, companionship, and monitoring.
- High engagement participants exhibited significantly more interactions related to goals, information, and companionship.
- Exploratory analysis indicated potential fatigue improvements in the high engagement group.
Conclusions:
- Quantitative usage metrics alone may not fully capture AI health coach engagement.
- Engagement is better understood through interaction frequency, action orientation, and companionship seeking.
- AI health coaches represent a potentially valuable tool for SSc self-management support.